Knowledgebase

Information from the Health Funds, Insurers or Government agencies about their latest fee or rebate schedules which are used in the SPM/PHM applications, is on this page.  It is kept updated as the fee schedules become available to us.

DVA
Last updated: 1 July 2024

Medicare and Health Funds
Last updated: 1 July 2024


Last updated:

Medicare

Jul 2024

 

ADF 

Jul 2024

 

AHM

Jul 2024

 

AHSA

Jul 2024

 

BUPA

Jul 2024

 

Cessnock DHBF

Jul 2024

 

DVA

Jul 2024

 

GMF - WA

Jul 2024

 

GMHBA

Mar 2024

 

GU Health

Mar 2024

 

HBF - WA only

Jul 2024

 

HCF

Jul 2024

 

IOOF

Jul 2024

 

Latrobe

Jul 2024

 

Medibank Private

Jul 2024

 

Mildura DHF

Mar 2024

 

NIB

Jul 2024

rt and Transport

Jul 2024

 

St. Luke

Jul 2024

 

TAC

Jul 2024

 

WAGMSS

Mar 2023

 

WC (SIRA) - NSW

Jan 2024

 

WC - Qld

Dec 2023

 

WC - Vic

Jul 2024

 

WC - WA

Nov 2023 

 

Medicare +120%

Jul 2024

 

Medicare +125%

Jul 2024

 

Medicare +150%

Jul 2024

 

 

The major improvements in this release are the ability to issue an electronic prescription to a patient and also to directly order lab test from the main laboratories.

The full release notes are available from the following link: SPM Release Notes 414.2

Electronic Prescriptions (NZ)

The electronic prescription function in the Incisive application incorporates a number of functions that demonstrate interoperability with health services.

  • Direct lookup and selection of the medicines and monographs provided by the NZ Formulary.
    The NZ Formulary takes the medicine listed in the NZULM and applies information on how to use and when to prescribe that medicine in line with current and best practice advice in New Zealand.


  • Direct lookup of the pharmacies from the online Healthpoint directory, to insert the patient's preferred pharmacy.


  • Submission of the prescription to the New Zealand ePrescription Service (NZePS) hub to send the prescription to the patient's preferred pharmacy or to hold for any pharmacy to retrieve.

  • Parking of the prescription, if the medicines were selected by a nurse or admin and require approval by an authorised prescriber, or if the internet cannot be accessed.

  • Sending an email and/or SMS (txt) to the patient with their Prescription ID to allow the medicines to be issued by the pharmacy.


  • Approval of medicines prescribed by the pharmacist, on behalf of the specialist.

The usual capability to save frequently issued medicines as Favourites and to easily issue a repeat prescription, are still available.  

Feedback from the clinicians and patients who have been trialling the option, has been very positive.

The NZePS function needs to be configured for each prescriber and there are a number of regulatory identifiers and authorisations you are required to have, before the option can be enabled for you.  Health NZ state that the existing temporary authorisation for non-NZePS signature-exempt prescriptions is planned to expire on 31 October 2024. 

As the NZePS option takes some time to configure and implement for each prescriber, we recommend that you contact the Incisive Helpdesk to get a list of the requirements and also to book a time for it to be enabled.  As this is a special service, there may be a charge for the time involved.

For Australian clients, your prescription broking service is the same as is used in New Zealand and we expect to be able to proceed with this feature for you in the near future.

Online lab ordering (NZ)

Awanui, Pathlab and Medlab Central have all made their online test ordering portal available for specialists using the Incisive application.  Incisive can pass through the patient and provider details to their portal, which is then included with the test you order.

Each lab requires you to register to use their eOrder portal.  Please use the following links to complete their onboarding process.

Microsoft now requires third-party applications, that want to import emails from a Microsoft 365 (Office 365) IMAP service, to use an access token for authenticated connection requests. Basic Authentication, which uses a Username and Password, is no longer supported by Microsoft.  The Incisive application will automatically recognise whether the Microsoft account is configured to only allow ‘Managed Authentication’ connections.

You need to register the Incisive application in your Azure Active Directory tenancy, that hosts your Exchange Online and grant it permissions. The AppID and Secret Value, of the app you register, are required for SPM/PHM to access the Microsoft 365 account.

The steps required are:

  • Register the ‘Message Centre’ as an App

  • Assign Users & Groups to the App

  • Assign Permissions to the App

  • Create a Secret

  • Enter the App ID and Secret into the Incisive program

Detailed instructions to configure the Azure portal are available from:

https://incisivesupport.com/docs/Microsoft365_OAuth2_Config.pdf

If the data for the claim does not comply with the Medicare rules, then claims will be rejected (by Medicare).  The format for the rejection will look similar to the response below.

This is not an error message.  It is a communication from Medicare that you need to check your data input and amend if necessary.

Status: MEDICARE_REJECTED

Assessor: Medicare

Code: UNACCEPTABLE_ERROR

When you lodge a claim for Medicare benefits, they use return codes to tell you why the claim was rejected or how the claim was assessed.

A full list of Medicare response codes is available here:

https://www.servicesaustralia.gov.au/medicare-digital-claiming-return-codes?context=22796

Code:  9201 Invalid format for data item.
Cause: Caused by a blank or contains spaces, hyphens or any other special characters (e.g.: ! @ # $ % ^ and * / \) is invalid and cannot be received by Medicare.
Resolution:

Edit each patient with a hyphenated name and ensure that there is no space before or after the hyphen.

Code:  9628 Referral or request required
Cause:   A referral or request is required for this claim. If the referral details were not submitted for this claim you'll need to submit this claim again with the referral details added.
Resolution:

Alternatively, some item numbers may need to be submitted with the 'Self-deemed' flag enabled.

WebException: The remote server returned an error: (400) Bad Request.

Field: Patient.name.second
Message: Value was invalid: Must contain only characters A-Z and a-z
Solution: WebServices requires a second initial, whereas the old client adapter did not.  Ensure patients who have a second first name, have this recorded.

Apple do not recognise or use TWAIN drivers to interact with scanners that are used with their Mac Book computers, so it takes a few more steps to get the scanning options configured and also to complete the scanning workflow.

A short tutorial video displaying the workflow sequence to scan a document, is available from this location

Configuration

  1. Install the ICA driver for the scanner on the Mac.  Test by using the Apple 'Image Capture' app.
    If the driver doesn't install check that you have sufficient permissions.
    If there is no ICA driver then the following steps will not work and you will have to scan the documents separately then attach, using the Message Centre feature.
  2. Install (or update) the latest TSscan client app (for MacOS) on the computer that is connected to the scanner (https://terminalworks.com).
    1. Open the app (Finder > Applications) and select 'Options'.  Then check ON the 'Redirected folder' option.
  3. Go to Preferences in Microsoft Remote Desktop and in the Redirected field, enter in the path to the ...Documents\TSDataDrive 


Scanning

  1. In the Incisive application, go to Patient > Notes > Scan.  
    1. Choose 'TSScan' as the scanner
    2. Open the 'Advanced' section and check ON the 'Use Shell Scanning' option.  This must be enabled.
      You may also want to enable 'Save Automatically', 'Use Document Feeder' and 'Reverse Background' (if they appear as white text on black).


  2. Click on the 'Scan' button
    If this is the first time using TSscan, a TSscan window may appear.  Select the Tools menu and choose the 'Switch to Mac UI', then close it.


    If the above screen doesn't appear, just let it continue as it is already set to use the Mac UI.


  3. Apple's 'Image Capture' app will then appear.
    1. Select the scanner in the left-hand panel
    2. Choose configuration options in the right-hand panel.
      1. 'Text' quality is usually sufficient.  If you use Colour it will significantly increase the size of the image file.
      2. Set the 'Scan To' directory to be the same as the directory selection in point 3. of Configuration above (Microsoft Remote Desktop > Preferences
      3. Choose 'TIFF' as the format and check ON the option to 'Combine into a single document'.